gregod said:
			
		
	
	
		
		
			no coach. it is not hilarious. it is sad 
 
		 
Sad is you boneheads patting each other on the back for showing your ignorance and stupidity.
First, you call for scientific evidence and it is provided. Then you trash it as predicted because it does not fit into your opinion/agenda.
Second, you accuse me of cherry-picking despite selecting the most recent meta-analyses on individual diseases/ailments/conditions.
Third, you accuse me of not reading the scientific papers cited when I obviously have read them, but you have not been able to comprehend the summary I had written twice or the papers themselves. Let me hold your bonehead hands and lead you through those papers.
I have already admitted that two of these papers (autism and jaw disorders) do not support the use of acupuncture and a third (general pain) shows a significant but not clinically relevant effect. I know you guys don't read too good, but I've admitted this twice already.
Now for #2, let's go through the remaining 9 papers and pick out the relevant sections from the abstracts and see how they differ from CF's statement:
	
		
			
				CoachFergie said:
			
		
	
	
		
		
			So only one review suggests that acupuncture has a real effect and that was a meta analysis of a meta analysis.
		
		
	 
I have underlined the sections in which the authors have STATED that acupuncture has a significant effect. I have left CF's bolded sections and summarized each paper in italics to highlight his lack of comprehension and deliberate attempts to manipulate the findings to his fit his own agenda/opinion.  
Labor pain: 
http://www.ncbi.nlm.nih.gov/pubmed/21735441
Less intense pain was found from acupuncture compared with no intervention ... One trial increased satisfaction with pain relief compared with placebo control ... Reduced use of pharmacological analgesia was found in one trial of acupuncture compared with placebo ... Fewer instrumental deliveries from acupuncture were found compared with standard care. 
Acupuncture and acupressure may have a role with reducing pain, increasing satisfaction with pain management and reduced use of pharmacological management. However, there is a need for further research.
I know it is hard for you to read more than a few lines of conclusions, but acupuncture has been shown to have a significant effect over placebos and standard care in the management of labor pain. The need for further research does not negate these findings. If you boneheads had any scientific skills at all you would realize that there is always the need for further research.
Menstrual pains: 
http://www.ncbi.nlm.nih.gov/pubmed/21249697
There was an improvement in pain relief from acupuncture compared with a placebo control ... In two trials acupuncture reduced menstrual symptoms (for example nausea, back pain) compared with medication ... in one trial acupuncture reduced menstrual symptoms compared with Chinese herbs ... one trial acupuncture improved quality of life compared with usual care.
Acupuncture may reduce period pain, 
however there is a need for further well-designed randomised controlled trials.
Again, acupuncture has a significant effect on the management of menstrual pains compared to placebos and medication. But you would only know this if you bothered to read the entire abstract and not just the conclusion. Again, a statement that further research is required does not negate these findings. 
Disability with neck pain: 
http://www.ncbi.nlm.nih.gov/pubmed/20482474
There was a significant short-term effect on disability for acupuncture (MD -8, 95% CI -13 to -2) and manual therapy (MD -6, 95% CI -11 to -2).
Some conservative interventions for neck pain are effective in the short term. Few interventions that have been investigated have shown longer term effects that are better than placebo or minimal intervention.
Again, the details are in the meat of the abstract and not the conclusion. You boneheads should really develop reading and scientific skills if you want to come to the table. Acupuncture has a significant short-term effect in managing neck pain. Because it does not have a long-term effect does not negate the fact it has a significant effect in the short-term.  
Osteoarthritis: 
http://www.ncbi.nlm.nih.gov/pubmed/20091527
In comparison with a sham control, 
acupuncture showed statistically significant, short-term improvements in osteoarthritis pain ... and function ... however, these pooled short-term benefits did not meet our predefined thresholds for clinical relevance ... Additionally, restriction to sham-controlled trials using shams judged most likely to adequately blind participants to treatment assignment (which were also the same shams judged most likely to have physiological activity), reduced heterogeneity and resulted in pooled short-term benefits of acupuncture that were smaller and non-significant. 
In comparison with sham acupuncture at the six-month follow-up, acupuncture showed borderline statistically significant, clinically irrelevant improvements in osteoarthritis pain ... and function. In a secondary analysis versus a waiting list control, 
acupuncture was associated with statistically significant, clinically relevant short-term improvements in osteoarthritis pain ... and function ... In the head-on comparisons of acupuncture with the 'supervised osteoarthritis education' and the 'physician consultation' control groups, acupuncture was associated with clinically relevant short- and long-term improvements in pain and function. In the head on comparisons of acupuncture with 'home exercises/advice leaflet' and 'supervised exercise', acupuncture was associated with similar treatment effects as the controls. Acupuncture as an adjuvant to an exercise based physiotherapy program did not result in any greater improvements than the exercise program alone. Information on safety was reported in only 8 trials and even in these trials there was limited reporting and heterogeneous methods.
Sham-controlled trials show statistically significant benefits; however, these benefits are small, do not meet our pre-defined thresholds for clinical relevance, and are probably due at least partially to placebo effects from incomplete blinding. Waiting list-controlled trials of acupuncture for peripheral joint osteoarthritis 
suggest statistically significant and clinically relevant benefits, much of which may be due to expectation or placebo effects.
Acupuncture shows some clinically significant effects, but in some the effects are significant but not clinically relevant, and in others acupuncture is neither significant nor clinically relevant.
Chronic pain: 
http://www.ncbi.nlm.nih.gov/pubmed/20070551
The 
accumulating evidence from recent reviews suggests that acupuncture is more than a placebo for commonly occurring chronic pain conditions. If this conclusion is correct, then we ask the question: is it now time to shift research priorities away from asking placebo-related questions and shift toward asking more practical questions about whether the overall benefit is clinically meaningful and cost-effective?
I will not elaborate on this one because it seems as though CF has not tried to negate the clinically significant effects of acupuncture on the management of chronic pain with an unrelated statement. 
Neck pain: 
http://www.ncbi.nlm.nih.gov/pubmed/19216662
The 
quantitative meta-analysis conducted in this review confirmed the short-term effectiveness and efficacy of acupuncture in the treatment of neck pain. Further studies that address the long-term efficacy of acupuncture for neck pain are warranted.
Ah, but here we are again. Acupuncture has a significant effect on the short-term management of neck pain. Period. But CF in all of his scientific prowess and wisdom believes these significant results are negated by the call for more studies on long-term management. A significant effect is a significant effect. Long-term conservative management, as highlighted by the previous meta-analysis on neck pain, is rarely effective regardless of the technique or drug.
Migraine: 
http://www.ncbi.nlm.nih.gov/pubmed/19160193
In the previous version of this review, evidence in support of acupuncture for migraine prophylaxis was considered promising but insufficient. Now, with 12 additional trials, there is consistent evidence that acupuncture provides additional benefit to treatment of acute migraine attacks only or to routine care. There is no evidence for an effect of 'true' acupuncture over sham interventions, though this is difficult to interpret, as exact point location could be of limited importance. Available studies suggest that acupuncture is at least as effective as, or possibly more effective than, prophylactic drug treatment, and has fewer adverse effects. Acupuncture should be considered a treatment option for patients willing to undergo this treatment.
Wow, this is a great one. In the first sentence of the conclusion, the authors state they had insufficient evidence to support acupuncture for treatment of migraines. But guess what? Further research was done ... and CF bolds the only sentence in the entire abstract that is not glowing about the significant and clinically relevant effects of acupuncture in comparison to drugs (and with less side effects).